Individual provider Active NPI

Frank Lalezar, MD

  • Plastic and Reconstructive Surgery Physician
  • New York, NY
National Provider Identifier
1578981817
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
302675 Issued in NY
Practice address
635 Madison Ave FL 17
New York, NY 10022-1009
Phone
(646) 887-5533
Fax
(516) 531-8906
NPI assigned
Apr 3, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X 302675 NY Primary

Addresses

Primary practice location

635 Madison Ave FL 17
New York, NY 10022-1009

Mailing address

635 Madison Ave FL 17
New York, NY 10022-1009
Phone (646) 887-5533

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210914003286 NY Practitioner - Plastic and Reconstructive Surgery 9133469067 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Wound Physician PLLC CurrentSince Sep 14, 2021 Accepting new patients
Frank Lalezar MD PC CurrentSince May 5, 2021 Accepting new patients

Locations

885 Northern Blvd
Great Neck, NY 11021
Phone (516) 487-6700

635 Madison Ave
Fl 17
New York, NY 10022
Phone (212) 717-0231

Interoperability endpoints

  • Direct secure messaging: flalezar68003@northwell.direct-ci.com
  • Direct secure messaging: flalezar19043@sbhny.direct-ci.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1396483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1578981817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 MADISON AVE FL 17",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221009",
            "telephone_number": "646-887-5533",
            "fax_number": "516-531-8906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 MADISON AVE FL 17",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221009",
            "telephone_number": "646-887-5533",
            "fax_number": "516-531-8906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LALEZAR",
        "first_name": "FRANK",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-03",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NY",
            "license": "302675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.